University of Miami Miller School of Medicine, 1600 NW 10th Ave #1140, Miami, FL 33136, USA.
University of Miami Miller School of Medicine, 1600 NW 10th Ave #1140, Miami, FL 33136, USA.
J Plast Reconstr Aesthet Surg. 2021 Nov;74(11):2885-2890. doi: 10.1016/j.bjps.2021.03.068. Epub 2021 Apr 8.
Given the prevalence of breast augmentation and prosthetic-based breast reconstruction, it is common for the plastic surgeon to see patients presenting for revisional implant surgery. A frequent issue encountered in such procedures is uncertainty of implant size, which presents numerous challenges and may lead to undesired outcomes for both the patient and the surgeon. There is currently no tool available with the purpose of measuring implant volume from magnetic resonance imaging (MRI) data. In this study, such a program was designed and tested.
An open-source software was developed that provides volume measurement of a chosen breast implant with minimal interaction from the user, allowing for precision in the planning of breast implant revisional surgery. It was developed to be as easy to use as possible for clinicians who may not have experience with imaging analysis platforms. The program was tested on patients who underwent revisional implant surgery and had documented implant volumes and pre-operative breast MRIs. Twenty-two implants were tested in total, including saline and both smooth and textured silicone implants.
The software has shown to be highly accurate with an average accuracy of 98.6%. A Spearman correlation coefficient of 0.967 was obtained. The software also performed faster than previously proposed methods.
Plastic surgeons can easily calculate breast implant volume pre-operatively using BreastImplantAnalyzer, which is available to download for free from www.BreastImplantAnalyzer.com or as an extension for the popular medical imaging platform 3D Slicer.
鉴于隆胸和假体乳房重建的普遍存在，整形外科医生经常会看到患者来进行修复性植入手术。在这些手术中，经常会遇到一个问题，即植入物尺寸的不确定性，这给患者和外科医生都带来了许多挑战，并可能导致不理想的结果。目前还没有专门用于从磁共振成像 (MRI) 数据中测量植入物体积的工具。在这项研究中，设计并测试了这样一个程序。
开发了一个开源软件，该软件可在用户最小干预的情况下测量选定的乳房植入物的体积，从而可以精确规划乳房植入物修复手术。该软件的设计尽可能易于使用，即使是没有成像分析平台经验的临床医生也可以使用。该程序在接受修复性植入手术并记录有植入物体积和术前乳房 MRI 的患者中进行了测试。总共测试了 22 个植入物，包括盐水和光滑及纹理硅胶植入物。
该软件的平均准确率达到了 98.6%，具有很高的准确性。获得了 0.967 的斯皮尔曼相关系数。该软件的速度也比以前提出的方法更快。
整形外科医生可以使用 BreastImplantAnalyzer 轻松地在术前计算乳房植入物的体积，该软件可从 www.BreastImplantAnalyzer.com 免费下载，也可作为流行的医学成像平台 3D Slicer 的扩展程序使用。
